TY - JOUR
T1 - Left ventricular hypertrophy in patients with hypertension
T2 - Importance of blood pressure response to regularly recurring stress
AU - Devereux, R. B.
AU - Pickering, T. G.
AU - Harshfield, Gregory A
AU - Kleinert, H. D.
AU - Denby, L.
AU - Clark, L.
AU - Pregibon, D.
AU - Jason, M.
AU - Kleiner, B.
AU - Borer, J. S.
AU - Laragh, J. H.
PY - 1983
Y1 - 1983
N2 - Left ventricular hypertrophy (LVH), a target organ response in essential hypertension, is only weakly related to clinical measurements of blood pressure. To determine whether blood pressure measured under basal or stress conditions more closely determines LVH, we compared echocardiographic left ventricular mass index and relative wall thickness with clinical blood pressure and with 24 hr recordings (home, work, and sleep) in 19 normal subjects and 81 patients with mild hypertension. Only a weak correlation was observed in the entire group between left ventricular mass index and clinical measurement of systolic and diastolic blood pressure (r = .24, p < .02; r = .20, p < .05, respectively), which was only slightly improved by use of systolic and diastolic blood pressure readings taken in the home (r = .31 p < .005; r = .21, p < .05), respectively). Sleep and total 24 hr blood pressure also related poorly to left ventricular mass index. In contrast, substantially higher correlations existed between left ventricular mass index and systolic and diastolic blood pressure measured by portable recorder in 60 subjects at work (r = .50, p < .001; r = .39, p < .01, respectively). Similar, work diastolic blood pressure bore the closest relationship to relative wall thickness (r = .59, p < .001). Home blood pressure readings taken on a work day also showed a moderate relationship with indices of LVH, whereas weaker correlations were found in employed subjects whose blood pressure was recorded on a non-workday, and no relationship between blood pressure and LVH existed in subjects who were not employed. We conclude that hypertensive LVH is poorly related to clinical or home measurements of blood pressure but that a substantially closer relationship exists between LVH and blood pressure during recurring stress at work and between LVH and home blood pressure on a workday. Thus hypertensive cardiac hypertrophy appears to be more closely related to blood pressure during stressful situations than to basal blood pressure.
AB - Left ventricular hypertrophy (LVH), a target organ response in essential hypertension, is only weakly related to clinical measurements of blood pressure. To determine whether blood pressure measured under basal or stress conditions more closely determines LVH, we compared echocardiographic left ventricular mass index and relative wall thickness with clinical blood pressure and with 24 hr recordings (home, work, and sleep) in 19 normal subjects and 81 patients with mild hypertension. Only a weak correlation was observed in the entire group between left ventricular mass index and clinical measurement of systolic and diastolic blood pressure (r = .24, p < .02; r = .20, p < .05, respectively), which was only slightly improved by use of systolic and diastolic blood pressure readings taken in the home (r = .31 p < .005; r = .21, p < .05), respectively). Sleep and total 24 hr blood pressure also related poorly to left ventricular mass index. In contrast, substantially higher correlations existed between left ventricular mass index and systolic and diastolic blood pressure measured by portable recorder in 60 subjects at work (r = .50, p < .001; r = .39, p < .01, respectively). Similar, work diastolic blood pressure bore the closest relationship to relative wall thickness (r = .59, p < .001). Home blood pressure readings taken on a work day also showed a moderate relationship with indices of LVH, whereas weaker correlations were found in employed subjects whose blood pressure was recorded on a non-workday, and no relationship between blood pressure and LVH existed in subjects who were not employed. We conclude that hypertensive LVH is poorly related to clinical or home measurements of blood pressure but that a substantially closer relationship exists between LVH and blood pressure during recurring stress at work and between LVH and home blood pressure on a workday. Thus hypertensive cardiac hypertrophy appears to be more closely related to blood pressure during stressful situations than to basal blood pressure.
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U2 - 10.1161/01.CIR.68.3.470
DO - 10.1161/01.CIR.68.3.470
M3 - Article
C2 - 6223721
AN - SCOPUS:0020592231
SN - 0003-1348
VL - 68
SP - 470
EP - 476
JO - Unknown Journal
JF - Unknown Journal
IS - 3 I
ER -